ML20211B771

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Matls Licensing Package for Amend 10 to License 50-29015-01 for ASCG,Inc.Control:572485
ML20211B771
Person / Time
Site: 03031760
Issue date: 09/16/1997
From: Prange B
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
To:
References
50-29015-01, 50-29015-1, 572485, NUDOCS 9709260024
Download: ML20211B771 (43)
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See also: IR 05000290/2015001

Text

{{#Wiki_filter:-- . . - . . . - . - . - - - - . ) JEUMLWJEUEIL3EDELRWJEUMLKWJulN_ENJERELMJEUELIhJsLRLE7jBb5b5bibEbtb5(5b5bkbEb(dMb5b5[[E[jb8 f ORM 374 . U.S. NUCLEAR REGULATORY COMMISSION MATERIALS 1.lCENSE g4 Pur mant to the Atomic Energy Act of 1954, as amended, the hne gy Reorganization Act of 1974 (rublic Law 93 43P), and Title 10, Code of l IWeral Regulations. Chapter I, Parts 30,31,32. 33. 34,35,36,39,40, and 70, and in rt.d ince on statements and representations heretofore made l by the licensee, a license is hereby issued authorizing the licensee to receis e, acquire, possess, and transfer by product, source, and special nuclear l material designated below; to use such materiti for the purpose (s) and at the place (s) designated below; to deliver or transfer such material to l persons authorimi to receive it in accordance with the regulations of the applicable Part(s) This licerse shall be deemed to contain the conditions y specifi:d in section 183 of the Atomic Energy Act of 1954, as amended, and is subjeci to all applicable rules, regulations, and orders of the N Nuclear Regulatory Commission now or hereafter in effect and to any ceditions specified below. E b '

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r ucensee In accordance with letters dated " ^9 1. 3.I cEse Nun \\ber E ' ASCG Incorporated g dba ASCG Inspection Services 50-29015-el is amended g in its ent4rsty to-read-as-foklows: g 2. 301 Arctic Slope Avenue, Suite 100 . 4. Expiration Date E 1 Anchorage, AK 99518-3035 March al. 2nni g 5. Docket or g Reference No. 030-31760 g 6. Ilyproduct. Source, and/or 7. Chemical and'or Physical 8. Maximum Amotmt that Licensec ( Special Noclear Material Form May Possess at Any One Time g . Under 'This License y E A. Iridium-192 A. Sealed radiographic A. See License E l sources contained Condition 16. E . ' ' n a source li i assembly registered E either with NRC E t under 10 CFR 32.210 E , ' . s or with an- E D Agreement State. E , _ E

.~. p - B. Depleted Uranium B. Shielding inaterial B. See License g Condition 16. g E E ' 9. Authorized use E A. For use in compatible radiographic equipment and devices registered with the NRC ! ,

pursuant to 10 CFR 32.210 or by an Agreement State for performing industrial 9 radiography, source storage and exchange, and source retrieval. l l B. For use as shielding in industrial radiography equipment. E E CONDITIONS E < E 10. Licensed material may be stored at the licensee's facilities at Lot 3A, Block 1 f i r Subdivision, Dimond Industrial Center, 301 Arctic Slope Avenue, Anchorage, Alaska. i l ' Licensed material shall be used only at temporary job sites of the licensee anywhere ! l 1 in the United States where the Nuclear Regulatory Commission maintains jurisdiction j l , -for regulating the use of licensed material. l l i- - l i ' i i ! 8 ' . . 9709260024 970916 h f ' PDR ADOCK 03031760 E , i ' C PDR _ _m m m a m my m mym m m m myjaununsp_K?yfyX@Xmyyyyyyy_m_myX@Xmy3_%s \\

'y masuuumaunusumuntuuntwasosomusuwxwza.w waustw_IsosuuuuuLwswustwaLwajatw utuw) NRC FORM 374A U.S. NUCLE AR REQULAToRY COMMISSION PAGE OF PAGES g '"* *"$8-2 9015-01 I i N I g MATERIALS LICENSE Dodet or Rggg E g SUPPLEMENTARY SHEET E E Amendment No. 10 E I E g, E ! g E N E N I u E e 11. The Radiation Safety Officer for activities conducted under this license is E W Michael J. Croy. E N 3 g 12. Notwithstanding the periodic leak test required by 10 CFR 34.27(c)(1) and (e) the E W requirement does not apply to radiography sources that are stored and not being E y used. The sources excepted from this test shall be tested for leakage before use or E g transfer to another person. No sealed source or device shall be stored for a period E g exceeding 10 years without being tested foruleakage and/or contamination. E y 85 The licensee is authorized $to'rhceive, possess, and uselsealed sources of iridium- g 13. E g 192 or cobalt-60 where*the radioact'vity exceeds the maximum amount of radioactivity E y specified in_this license provided: ) E li . ,9 g A. Such possessio';does not exceed the quantity per source s'pecified in Item 8 b/ E n g .nore than 20% for iridium-192 or 10% for cobalt-60; E - g E . B. Records of the licensee show that no'more than the maximum amount of E y c radioactivity per source specified in this license was ordered from the E N, supplier or transferor of the byproduct material; and E ,N E C. The levels of radiation for _ radiographic exposure devices land storage g g containers do not exceed those specified in 10 CFR 34.21.. E N 14. Licensed material shall be used by, or'under the supervision and in the physical @ e N presence of individuals who'have been designated in writing.by?the Radiation Safety ' g Officerandhavebeen}trainedinaccordancewith: g N A. Application dated July 10, 1996 f N B. Application dated October 23, 1996 M C. Letter dated November 6, 1996 ,g, W - ,i N 15. The licensee is authorized to transport licensed material only in accordance with f N the provisions of 10 CFR Part 71, " Packaging and Transportation of Radioactive N, g; Material". y S.3

16. The licensee shall further restrict the possession of licened material to 5 % quantities below the minimum limit specified in 10 CFR 30.35(d), 40.36(b), or [

70.25(d) for establishing decommissioning financial assurance. l b m } l N' i l n y W H N j.l H k H y H l M- f n y sg , =~* Win Ut####JtOOMMGtXTA?>*JOU*UtNWWNBCOU5T*K'">" "='" 55 '" '"

.C h 'M WN W$15b8[hb8i( @ bjbebsb@fg M (@38ba[TNbabdbhb b[N(N M 3 d NRC FORM 3NA U.S. NUCLEAR REGULATORY COMMISSION ) g PAGE 3 OF 3 PAGES g g Lkeme Numter g i g 50-29015-01 E g MATERIALS LICENSE poct or acre,eive rumter ( g SUPPLEMENTARY SHEET 030-31760 ( l E g Amendment No. 10 ( p! E K C E E t E p' E E E g' 17. Except as specifically provided otherwise in this license, the licensee shall g g conduct its program in accordance with the statements, representations, and g g:' procedures contained in the documents including any enclosures, listed below. The g y Nuclear Regulatory Commission's regulations shall govern unless the statements, g g representations and procedures in the licensee's application and correspondence are g , were restrictive than the regulations. g , 'M "{_ p (,' O )/ ApplicationdatedJuly.10F.n1996' ' s ~ I A. I B. Application dated October 23, 1996 2.wg 5 C. Letter dated November'6, 1996 i -

N D. Letter dated August 21, 1997 I m < ' f E. Facsimile dated September 15, 1997 , M . E N 'a E; ' ' R A N . El El ~ , g 2 y - l , E; - El _ n El , , , . N. E ll p - ' E . u - + E ' N ' El W E ll N E W E N ll E N E b . . E > W FOR THE U. S. NUCLEAR REGULATORY COMMISSION E W E N SEP 161997 ' E g Dated: By .de E N ateriaTs Brancp1 E R Region IV, WCFOL/ E N Walnut Creek, California 94596 E , l I I i h l i B I ih l l g !il ! I isl W !s s !s!' W fh n e b,mrmrmw,mrCirm,iem ninanicinininicenscransnerrinanvrm m m m m m m m m.m m m m m m m m m m a e entwd m renc\\ed news

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etsca: i r -- LicenseFeeMjnagementBranch, ARM 'Prgramg: g 03320 Regional Licensing Sections bate rg 30 jB . ih h!!! if:$:f.:.::g 5 m 2:52 n LIC(kSE F[[ TRANSMITTAL R[GION [ h b A. 1. AFP{ CAi!0N ATTACHED Me ""Mi'i"'"' 081 1 5' "E '"5' 5"'25 2"'- !I i i' , b/0h u Check No.: i,i " ,9 Q t , aged / '*"" * $ ,,Da$,,, & B. LIC[NSE FIE MANAGEMENT BRAMeck whenille'sto'ne 03 ts' entered e n_ - r /7 -- o -,

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Wairiut Creek Field Office S,,g,# 1450 Marta Lane Walnut Creek, Cahfomia 94596-5368 SEP 16 1997 ASCG Incorporated dba ASCG Inspection Services ATTN: Michael J. Croy Radiation Safety Officer 301 Arctic Slope Avenue, Suite 100 Anchorage, Alaska 99518 3035 SUBJECT: LICENSE AMENDMENT Please find enclosed License No. 50 20015-01. You should review this license carefully and be sure that you understand all conditions, if you have any ouestions, you may contact the reviewer who signed your license at (510) 975-0250. You should note that License Condition 16, has been added to your license relative to the maximum amount of material you may possess under the license. This licensing action was necessary to preclude you from exceeding possession limits of materials requiring that decommissioning financial assurance be provided. Should you determine that you require possession of materialin excess of 10 CFR 30,35(d) amounts, please notify us regarding an amendment to your license. NRC expects licensees to conduct their programs with meticulous attention to detail and a high standard of compliance. Because of the serious consequences to employees and the public which can result from failure to comply with NRC requirements, you must conduct your prcgram involving radioactive materials in accordance with the conditions of your NRC license, representations made in your license application, and NRC regulations, in particular, note that you must: 1. Operate in accordance with NRC regulations 10 CFR Part 19, " Notices, Instructions and Reports to Workers: Inspection and investigations," 10 CFR Part 20, " Standards for Protection Against Radiation," and other applicable regulations, 2. Possess radioactive material only in the quantity and form indicated in your license, 3. Use radioactive material only for the purpose (s) indicated in your license. 4. Notify NRC in writing of any change in mailing address (no fee required if the location of radioactive material remains the same), . . . . . ,. . .. ______ _ _ _ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ . _ _ _ _ _ _ _ . _ _ _ _ _ ___ _--_______-------_w _

l l . ASCG Incorporated 2- 5. Request and obtain written NRC consent before transferrint) your license or any right thereunder, either voluntarily or involuntarily, directly or indirectly, through transfer of control of your license to any person or entity. A transfer of control of your license includes not only a total change of ownership, but also a change in the controlling interest in your company whether it is a corporation, partnership, or other entity. In addition, appropriate license amendments must be requested and obtained for any other planned changes in your facility or program that are contrary to your license or contrary to representations made in your license application, as well as supplemental correspondence thereto, which are incorporated into your license. A license fee may be charged for the amendments if you are not in a fee- exempt category. 6. Mair.tain in a single document decommissioning records that have been cer+ified for completeness and accuracy listing all the following items applicable to the license: ! Onsite areas designated or forrnerly designated as restricted areas as defined

in 10 CFR 20.3(a)(14) o, 20.1003. Onsite areas, other than restricted areas, where raciioactive materials in

quantities greater than amounts listed in AppencSx C to 10 CFR 20.1001 20.2401 have been used, possessed, or stored. Onsite areas, other than restricted areas, where spills or other unusual

occurrences involving the spread of contamination in and around the facility, equipment, or site have occurred that required reporting pursuant to 10 CFR 30.50(b)(1) or (b)(4), including areas where subsequent cleanup procedures have removed the contamination. Specific locations and radionuclide contents of previous and current burial

areas within the site, excluding radioactive material with half-lives of 10 days or less, depleted uranium used only for shielding or as penetrators in unused I munitions, or sealed sources authorized for use at temporary job sites. I Lccation and description of all contaminated equipment involved in licensed

operations that is to remain onsite after license termination. 7. Submit a complete renewal application with proper fee, or termination request at least 30 days before the expiration date on your license. You will receive a reminder notice approximately 90 days before the expiration date. Possession of radioactive material after your license expires is a violation of NRC regulations. 8. Request termination of your license if you plan to permanently discontinue activities involving radioactive material. _ _ - _ - - - -

- .. . . . -. .. . - .. O: ASCG Incorperatedl .-3- , I ou will be periodically inspected by NRC. Failure to conduct your program in accordance Y with NRC regulations,' license conditions, and representations made in your license application and supplemental correspondence with NRC will result in enforcement action _ _against you. This could include issuance of a nctice of violation; imposition of a civil- penalty; or an order suspending,' modifying, or revoking your license as specified in the " General Statement of Policy and Procedure for NRC Enforcement Actions" (Enforcement Policy),60 FR 34381, June 30,1995. Thank you for your cooperation. Sincer aly, Yf Beth- A. E pge Sr. Healtn Physicist (Licensing) Materials Branch - Docket: 030 31760 - License: 50 29015 01- Control: 572485 Enclosures: As stated T y p y - = m,w-r -

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bec: LFACB,.T-9, E10 ' WCFO Inspection File ~ -i Docket File- State'of Alaska (License Only)

. ? .. 4 i DOCUMENT NAME: G:\\beth\\572485 To receive copy of documert, inecate in box: "C" = Copy wthout enclosures "E" = Copy with endoeures "N" = No copy RIV:MB l# C:MB F l l l- BPrange fkrP FWens)dskt 06/6/97 Of V /97 08/ /97 08/ /97 08/ /97 0FFICIAL RECORD COPY .y - '

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.-.. . . .. . - . . . . - . - . . . . . . . . . - . . ~ . . . _ . _ . CEP-ts-07 15 33 FROMeASCG IN3PECTION ids 2G74033 PACE 1/2 .e.= e . ASCG inspecti:n Ssrvicta 301 ArcWc Slope Avenue, Ste.100 Anchorage, Alaska 99518-3036 Date ' SEPT. 15, 1997 Number of pages 2 including cover sheet To: Fro MIKE CROY BETH A. PRANGE __ . & __ UNITED STATES NUCLEAR REGULATORY COMMISSIO n y NUCLEAR MATERTAT A f _Tr'rMcTut! crt'Tinn f __

REGION IV_(W.C.7.0.) _ . ' TE. 300 - A,450M,ARTFf.AMEe,, u.a u um.m uumntaa veve Phone (907)267 6319 Phone (510) 975-0250 Fax Phone (510) 975-0381 Fax Phone (907)267-6480 _ CC: O urgent iDa For your review O Reply ASAP O Please comment Let's try this one Beth. Maybe the odds are getting better. Any questions, call me.

Mike Croy l l 1 i ' l i l .

. . . _ -. . . _ . __ - . fl5-07 15eC3 FCCMeACCO IN!PCCTION IDeC37CCOC- PAC 3 C/D - P 'o ASCG ............ MGlutfit$ + ARCifffCT5 * StafNitSTA e subtfCes - September 11,1997 Beth A. Plange- United States Nuclear Regulatory Commission Nuclear Materials Licensing Section Region IV, (W.C.F.O.) 1450 Marie Lane - Suite 300 Walnut Creek, California 94596 Reference Control No. 572485 Dear Beth', -- This letter is to request approval to perform some radiogmphic operations on an occasional basis at our storage facility and within the fenced storage location at 301 Arctic Slope Avemie (this area is s'irrounded by a six foot chain link fence with barbed wire strung across the top with two rolling chain link gates that are securely locked at all times). This area is to be treated as a temporary jobsite and we will at all times follow all requirements for temporaryjobsite use of radiography and abide by and follow all rules and regulations of - Part 34 regarding safety of the public, restricted access, calculating boundaries, surveys of the premises, etc. We will, at all times, have a two-person rule in effect for any radiography . performed. Thank you. I % <C / Radiatloa Strety Officer ( Mic'hael J.[r/y ASCG Inspection Services 301 Arctic Slope Ave. Ste.100 Anchorage, AK, 99518 3035 w a x ,:. m m : - .. ~~

- .- .- . . _ . . ._. - .. . - - - - _ - __ - 1< ., L % ASCG Inspectlen Services ,, RECElVED ' } 301 Arcac Slope Avenue. Ste,100 (,h. O Anchorage, Alaska 99518 3035 p;y 97 AUG 22 AH10: 25 Dato 8/21/97 Number of pages 29 inctucing cover sheet 1 D To: Fro , BETH PRANGE (USNRC) MIKE CROY . , NUCLEAR MATERIALS LICENSING SECTION t> o < f __ D nrr Yny i t? / u r* rn% . s. . 14$0 MARTE LANE - STE,300 . %*- ' " 94596 WALNUT CREEK, QA., - _ Phone (510) 975-0250 Phone (907) 267 6319 Fax Phone (510) 975-0381 Fax Phone (907) 267 6480 CC; . .. . .

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. ',L . ,n;m ' - '" . , = .. . , y O Urgent yd Foryourreview C Reply ASAP O Please comment Beth, I hope that this will pass the muster. If not call me. P.S. ALL FAXED MATERIAL iS BEING MAILED TO YOU UNDER SEPARATE COVER THIS DATE. ASCG _ ......... . IV '.fli$ e 4%C+'(Of3 e SyrAlvC75 e N58! * 0N SEL:C!1 anus MICHAEL J. CROY RADiATON $ AFETY OFVCER ANCHon4GE a< 995fe 3035 301 Aact,0 S', Cat AVE. Suitt too . te@ ca.4151 <9Ch 267 63'9 '8Ax (9CM 267 64aJ = e*a,

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.c O R EC flVED ? ., I W G VN + thro INCORPOAATID 97l$ 22 /M @ pg omms m,eten . n t es . suuos August 21,1997 - Beth A. Prange United States Nuclear Regulatory Commission - Nuclear hiaterials Licensing Section Region IV (W.C.F.O.) 1450 Marie Lane - Suite 210 Walnut Creek, California 94596 Reference Control No. 572485 Dear Beth, This letter is to introduce myself as the Radiation Safety Oflicer for ASCG INCORPORATED, dba Arctic Slope Inspection Services, and dba ASCG Inspection Services. This letter is also requesting that Material 1.icense # 50-29015-01 be amended to reflect the following changes. 1. Item #1. Remove the name Arctic Slope inspection Senices completely from the title (see attached revised flow chart for your records). Your records show that Arctic Slope Inspection Services were exclusive to senicing the Alyeska Pipeline Service Company contract for radiogre.phy of the Trans-Alaska Pipeline. ASCG Incorporated, through the bidding process did not regain that contract and has subsequently lost the renewal of this contract and the existing contract expired on Febmary 5,1997. In the interim, ASCG Incorporated has transferred control of equipment (radiography equipment, vehicles, etc.) to ASCG Inspection Senices. Therefore, Item # 1 on Materials License (NRC Form 374) should read as follows: ASCG INCORPORATED dba ASCG Inspection Senices 301 Arctic Slope Avenue, Suite 100 Anchorage, Alaska 99518-3035 2. Item #10 (CONDITIONS) on the Materials License should state that all licensed material will be stored at ASCG INCORPORATED's storage facility located at LOT 3 A BLOCK 1, SUBDIVISION - Dimond Industrial Center, (behind or to the North side of) 301 Arctic Slope Avenue, Anchorage, Alaska for utilizatior at temporaryjobsites anywhere in or out of the United States wherein the Nuclear Regulatory Commission maintainsjurisdiction. _ _m . _ _

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_. . - _ . - . . - _ l-. l l1.. The attached copies are from documents maintained in the ASCG Inc. Decommissioning Plan File which attest to the wipe of the source storage box located in room # 101 of Omce Trailer

  1. 1, at the Alyeska hiarine Terminal, Valdez, Alaska, and sent to Amersham Corp. for assay,--

and was found to be clean of contamination. Also, that the darkroom truck used as a source storage location at 703 Bidwell St., Fairbanks, Alaska, has been permanently moved to ASCG Inspection Senices at 301 Arctic Slope Avenue, Anchorage, Alaska and is no longer utilize.1 as a source storage facility 3. Item #11. The Radiation Safety Omcer for activities conducted under this license is hiichael J. Croy (see attached experience record and associated documents submitted for approval) Also, ASCG Incorporated would like to submit for approval as Assistant Radia: ion Safety Omcers, the experience records of John P. Cope who is currently the General hianager of ASCG Inspection Senices and has been previously listed as the Assistant Radiation Safety Omcer on this license and has twenty plus years experience in radiography and the experience record of Richard (AKA-Rick) Ewing, Certified Radiographer; RTR Systems Operator, and has twenty plus years experience in Radiograpl y. Included, please find copies of a revised page 3 of section 2 (specifically part 2.6.1) of ASCG Incorporated's Operating & Emergency Procedures hianual that may be easily substituted in your file copies upon approval. Because the loss of the Alyeska Pipeline Contract has caused a downsizing of ASCG Inc, I would like to take this opportunity to submit a radiographer personnel status list, consisting of two parts, #1. Personnel currently active, and #2. Personnel that have been layed off, terminated or have quit the employ of ASCG Inspection Services.

  1. 1. ASCG Inspection Senices, currrently active personnel:

hiichael J. Croy, Radiation Safety Omcer John Cope, General hianager-Assistant Radiation Safety Omcer, ARSO candidate Rick Ewing, Certified Radiographer, RTR Systems Operator, ARSO candidate Gary Nourse, Certified Radiographer, RTR Systems Operator JetTSmith, Certified Radiographer JefTBrennan, Certified Radiographer Bruce Alexander, Certified Radiographer JefTBerrington, Certified Radiographer

  1. 2. ASCG Inspection Services list of terminated personnel.

Nusunginya, Thomas.. , . . ... Terminated.. . . 12-11-96 Matlock, David.. .. Terminated . .12-12-96 .. . Tucker, John.. . . .. Terminated.. .12 19-96 . . Caito, Frank.. . . . .. Terminated.. . 01-09-97 . Stevens, Joseph hiichael.. . ..Terminat ed.. . 02-05-97 2

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  1. 2. ASCG Inspection Senices list of terminated personnel:
Sipes, Curtis.............. ..................: Terminated............ 02-05 97

Schmidt, Matthew..................... ... Terminated.. ..........02-05 97 - Spaid, Kris.... ... ... . ........... . . .......... .. Terminated... ...... .. 02-05-97 - Davis, Andrew.. ...... .....:.......... .. Terminated..... ...... 02-05-97 - . = I would also like to take this opportunity to address changes to ASCG'S Operating and Emergency Procedures Manual to reflect that the survey meter calibration frequency _will be . ' changed from every (3) three month duration to every (6) six months; to reflect that audits on each individual will be performed at six montn intervals instead of- , quarterly; Land to reflect any and all changes that have been made to 10 CFR 19,20,21,' 30, and 34. If there are any questions regarding these changes, please call me. . Sincerely yours, ' Q/S1 %r M/ 5!icDel J. Cro%diation Sddy Oflicer ASCG Inspection Senices

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. . . . . - - . . - _ - - .. _ . _ _ _ - . - . _ _ . . -- - - . . . O .. J NRC FORM 313 U. S. NUCLEAR R23ULATORY OOMMiR6pN APPROvgO SY OMS. NO. It864Q ' sAriRES S-36es TkS RESPONS.E TO COMPLY WffH ' pose PER ES.TIMATED BUNDEN f** 10 CF4 30 32. 53 hours uSWTT= ce mE m 0-ATON cOufCTON REQUEST AP%CATk9N IS NECESSARY TO DETERMWE NAT NE APPUCAM 'S l u. .,s j- OVAUFIED AND THAT ADEQUATE PROCEDURES DOST TO PROTEC THE PUSUC HEALTH AND SAFE"Y. FORWARD COMMENTS ' APPLICATION FOR MATERIAL LICENSE REGAROno BURDEN Efruct TO mE umMuCN ANO aECee$ MANAGEMENT SRANCH (T4 FSS). US teJCLEAR REGULAICRY COMMiGSON WASHNGTON. DC 3058841001 AND TO mE PAPERWORet REDUCTON PROJECT (31504120L OFFICE OF MANAGEMEM AND SUDOET WASHINGTON DC 20503 INSTRUCTIONS: SEE THE APPROPRIATE UCENSE APPLICATION GUIDE FOR DETAILED INSTRUCTIONS FOR CO SEND TWO COPIES OF THE ENTIRE COMPLETED APPLICATION TO THE NRC OFFICE SPECIFIED BELOW. APPuCATCN FOR OtSTRIBUTim OF EAEMPT PRODUCTS FILE APPUCAflONS W1TN. IF YOU ARE LOCATED IN' OiVISCN OF IHOUSTRIAL ANO MEDIC 4 NUCLEAR SAFETY - lLUNOfS. IMOLAAA. IOWA M6CHIGAN. MINNESOTA. MISSOURI. ONIO, OR WISCONSIN, CFFICE OF NUCLEAR MATERIALS SAFETY ANO SAFEGUARDS SEND APPUCAT10NS tot US NUCLEAR REQULATORYCOMMtSSON WASHINGTON OC 206SS4001 MATERIALS UCENSING SECTON U.S NUCLEAR REGULATORY COMMSSOK REQCN W ALL OTHER PERSONS FILE APPUCATCNS AS FOLLOWS: 831 W ARRENViLLE RD. l IP YOU ARE LOCATSD IN: U8dIL 80E32 ALASKA AR20NA 4RMANSAS. CAUFORNIA. COLORADO. NAwall lOAMO. KANSAS. CONNECTICUT. DELAWARE. DISfRsCT OF COLUMStA. MAINE. MAR YLANO. LOUISIAhA. MONTANA. NESRASMA. NEYADA. NEW WOl'CO NURTN DAKOTA MASSACNUSETT S. NEW NAMPf Heng, NgW JER SEY. NEW YORK, PENN4YLVANIA. CMLANOMA CRE00N. PACFIC TRUST TERRITORIES. SOUTN OAMOT4. TEXAS. UT KMODE ISLmNO. OR VERMONT. SENO APPUCATCNS TO: WASHINGTON.OR WTOelleeG SEND APPUCATIONS 70. LCENSNQ AS$1STANT SECJON NUCLEAR MATERIALS EAFETY 3 RANCH NUCLEAR MATERIASUCENSWGSECTCN U S NUCLEAR REGULATORY COMMISSON REGONI U S NUCLEAR REGULATORY COMESSON. RE0 TON IV 4M CAE ROAD til RYAN PLAZA ORIVE. SUfft 400 IUNG OF PRUSSIA PA 18406 1418 ARUNCTON. TX 79011 4064 AULSAMA, FLORICA OEOR0tA. KENTUCMY. MISSIS $1PP1. NORTN CAROUNA. PUERTO KtCO. SOUTN CAROUNA. TENNESSEE.VIRGINtA. V1ROIN ISLANOS. OR WEST VIRolNLA. SENO APPUCATIONS 70. NUCLEAR MATERIALS LCENSING SECTON U S NUCLEAR REGULATORY COMMISSCN REGIONI 101 MARiETT A STREET NW, SUlTE 2900 ATLANTA. QA 303240190 PCSONS LOCATED IN AGREEMENT STATES SEND APPUCATCNS TO THE W.S. NUCLEAR REGULATORY COMMISSCN ONLY ap THEY WlSH TO POSSESS ANO USE MATERLAt lN ST ATES SUSJECT TO W S NUCLEAR REOULATOR Y COMMIS$10N JURISOICT10NS. 2. NAME AND MAlWNQ ADORESS OF APPUCANT (McAmo La capel 1 TWS LS AN APPUCAI!CN FOR (Cheen aggrupnew WuW ASCC Incorporated ~~ A NEW UCENSE 50-29015 dba ASCJ Inspection Services 1 S AMENOMENT TO uCEuSE NUuSER 301 Arctic Slope Avenue - Suite 100 c< RENEWw CF LCENSE kuMSER Anchorage. Alaska 99518-3035 ~~' 4 NAMS OF PERSON TO CE CONTACTED ABOUT TMS 3 AOORESS(ES) WHERE LCENSED MATERi AL WILL SE USED OR POSSESSED APPuCAfiON Storage............ASCG Incorporated 301 Arctic Slope Avenue - Utility Yard Michael J. Croy, R.S.O. Anchorage. Alaska 99518-3035 TELEPHONE NuuSER Utilization........ State of Alaska (907) 267-6319 $USMIT TTEMS S THROUGH 11 ON Sit 2 K 11* PAPEt THE TYPE ANQ SCOPE OF INFORMAT10N TO BE PROvCED IS DESCRISED IN THE UCEN g RACCACTIVE MATERIAL. e Element one mese numeer. S sham.can and/or payeessi tarm. ene s. mansmurn amount 4 PURPOSE (S) FOR WHICH UCENSED MATERIAL WILL BE USED wuca wun Se possessee as any one ame T INDIVIOUAL(S) RESPONSISLE FOR RADIATON SAFETY PROGRAM AND THEIR llllANNQ FOR IN0lVOUALS WORIONG N OR FREQUENTING RESTRCTED AREAS S TRAP #NG EXPERIENCE S FAcluTIES AND EQUIPMENT 14 RACBATION SAFETY PROGRAM. e 11 UCENSEE FEES (See 10 CFR v10 and Sevean f FO Jf) l AgoyNT 11 W ASTE MANAGEMENT FEE CATEcORY ENCtOSED , n CaRTIFCAf10N @fusf 60 compeant ey espacen0 INE APPuCANT UNDERST ANOS THAT ALL STATEMENTS ANO REPRESENTATIONS MADE N THIS APPUCATION ARE SINOLNG UPON TWEE APRICANT THE APPUCANT AND ANY OFFICIAL EXECUf1NQ THIS CERTIFICAT)ON ON SEHALF OF THE APPUCANT. NAMED N ffEM 2, CERTIFY THAT1HIS APPUCAT10N IS PREP ARED IN CONFORMW WITN 1TTLE to CODE OF PEDER AL REQULATiONS. PARTS 30,32,33,34 35. 36,30 ANO 40, ANO THAT ALL INFORMATON CONTAWED HERE!NIS TRUE APC CORRECT TO THE BEST OF NElR KNOW1 EDGE AND SEUEF. W ARNING.18 U S C SECTION 1001 ACT OFJUNE 25,1848 52 ST AT T40 MAKES ff A CRIMhAL OFFENSE TO MAKE A WILLFULLY F ALSE STATEMENT OR REPRESENTATON TO ANr OEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WffWIN fTS JURISOICTON John MCClellan. Chief u(b \\ '_ ab kg. cATE - SONATU .c CERT 1FY:h'() OFFICER - TYPEDFRWTED N AMk' ,ANO TITLExecutive Officer ^ -August 13, 1997 mau t % n ; t i o 4,., %r# n m _. d ' FOR NROTJbEIONLY // \\ , me CF rEn FEE LQo rEE CATEoORY AMaVNT RECEaEo CHECx NuuSER CouME e %) $ APPROVED SY CAfg pR NTED CN RECYCLED PWER

  • eRC 50W 313 00. Set

-

, . _ . _ . . . . - . - . . . . . . . _ . . . _ . _ _ . _ . .i , ,,,,. lNC0tPOEAttD ec,sms . a:-nc.s . s:cxs . 3mices . -- July 10,1997 - Mike Croy! _ . Arctic Slope inspection Services,Inc, 301 Arctic Slope Avenue, Suite 100 - . Anchorage, Alaska 99518 SUBJECT: RADIATION SAFETY OFFICER Dear Mike: Effective immediately, you are appointed as ASCO Incorporated's Radiation Safety ~ Officer. Please assume those responsibilities designated for this position and concentrate your efforts on making sure ASCG and its subsidiaries / divisions are in compliance with all regulations affecting radiation safety. Thank you.

Sincerely, m. (. (C .Jo . McClellan, CEO JDM: paw _CC: Doc Blackard- John _ Cope Jim Kingrea John Voth - - , l. (c [?! _ _ . , _ . . _ _ _ Z?.14Mi a! . ( At %?:- 24;.425 3 l'

- - -- - .. . . . . .. .. 2.6.1 The following individuals shall be notified in order in the event of an emergency involving radioactAve materials. 1. Michael J. Croy, ASCG INC., RSO. 301 Arctic Slope Ave.- Suite 100 Anchorage, Ak. 99518-3035 Home: (907) 733-1850 Work: -(907) 267-6319 2. John P. Cope,ASCG INC., A.R.S.O. 301 Arctic Slope Ave.- Suite 100 Anchorage, Ak. 99518-3035 Home: (907) 745-1997 Work: (907) 267-6343 3. Rick Ewing,ASCG INC., A.R.S.O. 301 Arctic Slope Ave.- Suite 100 Anchorage, Ak. 99518-3035 Home: (907) 376-8143 Work: (907) 267-6376 The R.S.O. or A.R.S.O. shall contact: 1. Alaska State Police (907) 269-5511 or State Police in state which located, if emergency involves transportation. 2. NRC Region 4 Day: (800) 952-9677 Night: (800) 952-9677 or Agreement State in which located, see following page for numbers. 2.7 A detailed rtport of the accident shall be completed by the Radiatien Saf1ty Officer. RECOVERY PROCEDURE 2.8 If a situation aciaes that calls for such action, the Radiographer at the scene will follow emergency procedures as outlined in this manual. The only individuals authorized by this company to plan and physically attempt source recovery are the R.S.O. or Asst. R.S.O. 2.9 The R.S.O. or Asst. R.S.O. will discuss the situation and emergency procedure with the Radiographer on the scene.and will perform a preliminary assessment based on the severity of the situation. The Radiographer or Radiographer Assistant will maintain surveillance ut the ccene at all times. l m -. - - . - - r - w

~.. . . ASCGINCORPORATED INSPECTION SERVICES August 1997 ( h PRESIDENT 1 CEO k John McClettan

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) , OPERAllONS TECHNOLOGY MANAGER MANAGER Jim Kingtea Jolin Cope J > - - _ _ _ _ _ . _ - , ..- ..______. __ .__

[ CONTRACT 1 7

RSO 1 OFFICE M & TE ' . '

CO*4PLIANCE PA MANAGER COORDINATOR (poposed) y Muke Croy (poposed) , , y .

. OFFICE DOCUMENT f LEAD COORDINATOR SPECIALIST TECHNICIANS (PWW) } (W @ Sed) } r b hyharlmmteonms vW 8 8 8 97Elp . .. - - .

. - . - . . - _ _ - - , . . . .- . -- 4 O 4 .. DECOMMISSIONING OF ASIS FACILITIES AT VALDEZ MARINE TERMINAL This form is to state that during the lifetime of radiologic acitivites that took place at the Valdez Marine Terminal, that there were never any spills or other unusual occurrences invoMng contamination in and around the facility, equipment, or site. "Ihere also is no likelihood that any contaminants remained after c!canup of the facility. See attache:1 sheet for I leak test (wipe of source storage box) sent to Amersham for assay. . . I l . , . , 1 I [ o t I ~ l f . -. - - .-

-. . - - -- -. - -. - - _ - - . - . - . -- .. ,* at p ~j t/,t/ ~ ARCTIC SLOPE INSPECTION SERVICES, INC, 4._ ' March 11,1W7 AMERSHAMQSA 40 Nath Ave. Burlington,Ma 01803 Der Sir, . Tbc erclosed swab is not frem an caposurt device, %t from a %= of a SOURCE $70RAE DOX used for storage of radiograph : exposure dmces. Arctic Slope larpection Scmets 301 Arctic Slope Aw. Suite 100 Anchorage, ALuka 99518 USSRC Licesse # $0 2901541 la decomadssioning this heillry, (inc!cding this storage bcx ), to a new contnerat. So as to comply with USNRC 10 CFR Part 30.35 (sP!teconikeeping far the Safe and ESuuva Decernmittiomsg of a Facilltf. I am requesting that the followmg be included on the SURVEY REPORT, (See at'.a:hed dramng), Fir.a! D--4"ior'ag Surycy of Radioactive Material Storage Vault at ALYESKA PIPELINE SERVICE COMPANY VAIREZ MARINE TERMINAL VALDEZ, ALASKA 99686 . Locaud in OfkeT siles #1 Room #101 Thank you stry much for your assan~ in this snatter, and do not hesnate to crJ.1 me if you have say quesuons, at (907) 267-6223. Joseph Vigman . Radiation Safety 0.5:er . ^ WM % W ACC St. opt AVCNut. Kuitt 100. awewonact, etAtxA oc$te sess (SC?) 3124189 + PAX. (7C?) 348-4213 , , , _ . - - - - - . . - . _ - __ -- ., . . _ -

. _ . . ,, ' .* _ f ,+ sherves Shetvas _ i Racc:ac::ve Mater:1:8 - $!(n , _A Sour:e steren in lead linnec with ICCK. b - N N . C . _--~~L , Oo,ot with tech. N Rac:fa=ve Mater'.st / Sign d - PROCESSED ATAMERSHAMON lb AM7 Raceta :ve Matensis MADl0 ASSAY do e i MICROCURIE 4M si n TESTPERFORMED C NEXT1.EAKTEST DUE 4/A z Q p s n..sp, d) e ud g- . Abt la k. M6 amla Ac 6 L.3 C,g-) $7, (A*;i3ti k Th-Its% , , , ,

- . Caminst h __ I flaenise::ve Matenats N" Complete a Diagram ofThe stor ;e Facility cuisi.- = - r., % .rn.r aruewed) ' Storace Ares / Box Valdez Marine Terminal c) Office Trafier #1 Room # 101 (2) (5) (4) Top Front! Lock Ares (11 _ -_ l _ _ , _

.. = ,. - - . . - . - . - _ - . .- . ~ . - . . . _ - . _ ' ... .

.

DECOMMISSIONING OF ASIS FACILITIES AT FAIRBANKS, I ALASKA /NORTIISTAR TERMINAL This form is to state the.t during the lifetime of radiologic activities performed for ASIS, that took place at the Fairbanks, Alaska /Northstar Terminal, that there we never any spills or other unusual occunences invohing contamination in and around the facility, equipment, or site. There also is no likelihood that any contaminants remained after decommissioning of the facility as there were no . radioactive sources or sources of contamination keptin any stationmy or permanent facilitities there. All radioacive sources were kept in a locked (1 ton Darkroom Tnick that was stored in a fenced, locked storage yard located at 703 Bidwell Street., Fairbanks, Alaska. On the day of decommisioning, this truc was dispatched to ASCO,Inc. ,301 Arctic Slope Avenue, Anchorage, Ala was placed in a fenced, locked, storage yard immediately adjacent to t side of the building across an alleyway The radioactive source that had been in > storage in thi truck while it was in Fairbanks, Maska was then removed s Darkroom Trucks source storage box and placed into the source storage box i ' pemianent facility (ATCO Module) in the storage yard. See attached suney drawing and attached drawing of the trailer module, , ,- _ 'e w ,

__

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U IE (1 WYREN AVENUE N2 % A CAST t es *5' ___ _ $ ~ 45.00' T .. ec C2 . ' . C4 ) G ~ 10'X56 AfC0 ~ I BUILDINC 7 ., g S SCALE 1*= 100* J l . . - / LOT 3A (, b ~~ g 7_ BLOCK 1 __ - i . ,, - .ynn.-.-- 2 - EAST 347.32'

1 .

i I ' N CUN Vt. RADIUS dNGTH OELTA C1 200.89' 116 25' 32'12'06" d W .. _ C2 100.00' 123 80' 7058'59' - mu= * *" C3 181.69' 162.62' 51*l3'3 7' - ,trvan nstmoa l i C' 40.00' 62.05 89'59'50' ! I hereby certify that I have surveyed the following described property. LOT 3A. BLOCK 1 OF PS2-112 WITHIN THE ANCHORAGE RECORDING DISTRICT and that no encrocchments exists except as indicated it is the responsibility of the owner to determine the existence of any ecsements, covenants, or restrictions which do not appear on the recorded subdivision plot. Under no circumstances should any dcto hereon be used for construction or for establishing boundcry or fence lines. Octed this 28th doy of October,1996. , $h - AA b~ .f , a 4' s l 06(g105 A. 'roether, Registered Surveyor ffj gj ,

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, o ASCG Incorporated ~ g , .301 Arctic Slope Ave. e - ""' , nchorage, Alaska 99518 { A

_ . . ASCG INCORPORKl'ED 3ttI Arctic Slope Ave., Sake itXI NDE i.All & RADIOACTIVE SOURCE 5 FORAGE VAULT ARE Anchorage. Alaska 99518-3035 l'tioste: (90) 349-5148 Maln Pax: (907) 349-4213 -= -_. ,t __ I I[ - j { - l. - l [ 6, ln,,:lll-- 1 I - - . - ~~ ~~ ' ]:=f _._ p . - - . eq i.{ {Ol ,,,,,,,e - w Li 6 1 - A ' 1 d A I

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_ . _ . _ . _ . - . - . ._ _. _ . _ _ . _ . - . _ . . . _ _ . . _ . - _ . _ _ _ . . . _. , ,- . L

TUNIVER'SITY OF ALASKA ANCHORAGE '" l COLLEGE OF CAREER ANDVOCATIONAL EDUCATION - 3211 Provdern Dnve Anchorsp, Alada9950$4.146_ ! Division o(Irdnaist and Hohh med TahreWm:

March 18,1997 . . THIS IS TO VERIFY THAT: Michael Croy ; SSM HAS SUCCESSFULLY COMPLETED,WITH A PASSING COMPOSITE

.., GRADE OF 80% OR HIGHER, A THREE PART-LEVEL 1 RADIOGRAPHY ' - 1 TEST,IN ACCORDANCEWITH THE AMERICAN SOCIET( FOR NON- DESTRUCTIVE TESTING, RECOMMENDED PRACTICE NO. SNT-TC-1 A. THE ABOVE MENTIONED INDIVIDUAL HAS ALSO SATISFACTORILY COMPLETED 100 HOURS TRAINING IN THE INDUSTRIAL RAD COURSE, WELD 263, INCLUDING 40 HOURS OF RADIATION SAFETY. COURSETAKEN: FALL 1989 DATE COMPLETED: DECEMBFA 1989. f kid W Donald L Sp'ahr, P '"r ' Chair, Division of In strial & Health. Related Technologies , 4 e. _ _. = - A DIVISION'OFTHE UNIVERSITY OF ALASKA STATEWIDE SYSTEM OF HIGHER i . n .. - . , _ _ . - . . . . , . . _ . . . .-

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. ' . ,~ . ~ ,v e. iv ,,T,. ' . ,t x w .. g r g. yp.c am rm ,. p. / . . . . ' ', $d 1, ; ; y ,4, ,3 . .g , x, - . ARCTIC SLOPE INSPECTION SERVICES, INC. , . QCN4 ren c NDE CERTIFICATION RECORD S.S. No. 6 I) NAME: _ MichacLL Croy _ , 2) NDE METHOD: PT LEVEL: II 9/5/08 3) CERTIFICATION DATE: . 9/5/95 RECERTIFICATION DATE: . 4) EXPIRATION DATE: 9/5/93 _ EXAMINATION ACTUAL GRADE ' GENERAL 74.0 % SPECIFIC 80 % PRACTICAL 100 % - l AVERAGE GRADE 84.7 % - . 5) EXAhUNATION ADMINISTERED BY: s GENERAL: R. Waoect _ DATE: 7/31/95 SPECIFIC: R. Wannel DATE: 7/31/95 PRACTICAL: R Wapoel DATE: 9/5/95 , See Eve Cenification Form 6) PIIYSICAL EYE EXAMINATION DATE DUE: 7) NDE TRAINING AND/OR OJ.T. TRAINING: _8D HRS. 8) EDUCATION BACKGROUND: _ Hich School see Resume 9) EXPERIENCE BACKGROUND: MEETS THE REQUIREMENTS OF SNT- I HEREBY CERTIFY THAT Michael Crov TC-1 A AND ASIS QCIM-4 FOR CERTIFICATION IN THE ND Method: RT /? f ]NI f/ Level II l ) ' 10) QUALIFICATION / CERTIFICATION APPROVED BY: _ Corporate LeveldH . l l . . \\ 09618 3015 301 ARCTIC SLCPC AVENVg, SutTE 100. ANCHORAGE, ALAEKA (90D SS389 . FAX:(90M 349 4213

.. -. ,< ({q CERTIFICATION STATEMENT (REF: SNT-TC-1A, August 1988 Edition) CTI ,,,n Inspector No. 160 1. Name Michael J. Crov 2. Social Security No. . 6 Hire Date 04-23 00 3. Nondestructivo Testing' Method for certification Radiocreschy . Limitod Yes a No O Alternat!.ve 1 Yes O No a X Laval of Cartification II._ New Certification __,__ Re-Cartification 4. SNT-TC-1A, CTI 5. Qualified to Perform Examinationn in Accordance with: API-650, API- Alaska,. Inc. Qualification and ,J tification Procedurn, 1104, ANSI B31.3, ANSI B31.4, ASME Section V, ASME Section VIII and AWS D1.1, Latest Editions, an applicable. 6. Education graduato of Shenandoah Mich School and attended Western Community Colleap of Keokuk Iova. for 7. Workinc Exnerience in NDT Method for Certification:Radicarachy cerrosion i3n einelines. vessels, and pressure __vesseln and velds. Total years / months experience in Mathed for Cartification:_3 Yrs 4 Mca_ 80 Heurm ___ 8. Total Hours Training in the Method for certification: N/A Total Hours Training in Radiation Safety (if applicable): Radie. tion Safety Examination on file: Assistant Radiographer N/A 9. Examination Resultst Examination % Score (704; or hignar for each)

General 72.5_ 9 0 . 0-_

Specific ! 87.B__ ) Practical ' 83 4 _ (80% or higher) Average Scorn You s No O 10. Satisfactory complation of visual acuity test: ! , Date 01-24-93 Date _ Data Data Date Date ._ , 11. Date of original certification 08-17-90 original Expires 08-16-93- Racertification Expires 08-15-96 _ 12. Date of Recertification _08-16-93. Recortification without Examination . 13. Examinations Administered by N. Me Levol III Examiner M ~#. U W SB703 Leval III Examiner 14. Cartification Approved by on file at CTI Alaska, IDc.t certification examinations / are 4831 Old Seward Highway, Suite 107, Anchorago, Alaska 99503-7450. Notes Copies of thenu examinations may be obtained upon written request. __

. . Detober 31,1996 RESUME Michael J. Croy P.O. Box 13263

Trapper Creek, Alaska 99583 ' NDE LevelII RT Oualifications NDE LevelII MT NDE LevelII PT NDE I.evel I UT . Professional Experience Main experience has been in the field of radiography for the past twenty-six years. Involvement with pressure piping, high-pressure turbine systems, desalinization plants, pressure boilers, vapor tecovery systems, ballast water treatment facilittes, S 12 560 diesel engines, pump repair, and blueprint reading while in the service of the ~ Navy 1961 through 1965. Equipment and Safety Training Radiation safety Respiratory Protection Manlift AMZ 66 Radiation devices & associated equipment Thickness and Gaw detection instruments HS 2 HAZCOM 'HAZWOPER Manlift scissors Alaska Drivers License Class B/CDL (Endorsement H, P, and S) Education Shenandoah High School * Shenandoah, Iowa U. S, Navy, Diesel Engineman School Pump Repair School Turbine School ! Boilermaker School Blueprint reading School < Keokuk Corrununity College * Keokuk, Iowa - Applied Sciences Program ' St. Josephs Hospital * Grand Rapids, Michigan - Medical Ultrasound Gradwohl School of Laboratory Technique * St. Louis, Missouri - Laboratory Technique Oklahoma School of Radiography * Oklahoma City, Oklahoma - Radiography University of Alaska * Anchorage, Alaska - Weld 263 Metalbrgy

.- -. . -- .. . __. .

1 . October 31,1996 Employment Illstory 1967 Grnham Hospital, Keokuk, Iowa. . ...I.aboratory Technologist . 1971 Iowa State Penitentiary, Ft. Madison, Iowa. Lab. & X ray Technologist & Hospital Administrator 1974 Rosa.'y Hospital, Corning, Iowa... .. Laboratory Tectmologist & Radlology Administrator 1984 St. Josephs Mercy Hospital... ... ...... Radiology Adtninistrator CenteMlle, Iowa . 1986 Alaska Native Hospital, Anchorage, Alaska Radiology Technologist 1990 CTI Alaska, he., Aechorage, Alaska.. .. Corrosion Inspector ARCO Prudhoe Bay, Alaska 1995 Aictic Slope Inspection Services, . . Document Control Specialist ,Present Anchorage, Alaska Have sat on and chaired numerous boards, committees, and sub committees for Quality - Assurance .nd Quality Control with the medical society. I am fand11ar with and have worked with ASME Section V ASME Section V B31.1, API 1104, AP! 1107, AWS D1.1, MIL STD.410E, SNT.TC.1A, ANSI /ASNT CP.189, 10 CFR PART 10,414, 19, 20, 21, 34. I have wr.'.wn and revised procedures for incorporation into the ASIS NDE Procedures Manurt, the ASIS OPM 02 Manual. I also have ' nitten a complete mdf ation safety progratu a e,se by the Radiation Saf6ty Officer for training. Respomfbi!! ties at arcsent: Verlication of qualty control persennel certlScations and quallBeations. Verification of certi0 cation of each inspector as being qual 10ed to perform work in their particular discipline, ie., candidates education, experience, professional cert 15 c trainhig. Ensuring that doctanents received from clients are received and internally controlled. Controlling documents for which dev:.lopment, review, approval, distribudon and rev are procedurally controlled. Ensuring that documents are reviewed for adequacy, approval for release by authorim personnel, distributed and available for use at the location where the prescribed ac perfonned, t.hdating all distribution lists. D stribution of all controlled and uncontrolled documents. Providing suppon to area offkes for interirn control of quality records filing system. Maintaining a " Distribution controlled Document MatrL(log. ' ReceMag and control of ASIS Held controlled documents in accordance with QP.7,0, Rev. 2 of the Quallry Procedures Manual (OPM 02, Rev. 3). < 1 - -

_. . . - . , ~ . - . _ . - _ . _ - . -._-~.. . . _ - - . . . - - _ . - - _ - . . e . t . V-NRC001 042154 f W OUNT VOUCMtm NO. ! a i CATE I INVOICE NUMnER . 1 +

t l I 720.00 i 04/03/97 ! ! V09360 AMEND I' l l

  • Total I

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' .. . c.,mu. .um ..,~,. 42100 ASCG Incorporated GENERAL ACCOUNT 4 mi . i, . ... . .... . .... x n ras ison westis beenone. is7) >945.s DCLLAnS AND CEWS

            • 720.00

,. PAY 00

                    • 120**

' ASCG Incorporated ' Igh; g TO THE i j US NUCLEAR REGULATORY COMMISSION ,,oc u n. y; ;. .. NUCLEAR MATERIALS LICENSING COMMISSIO g,,,,a ig,,,wg 0"o,88 0 611 RYAN PLAZA DR, SUITE 400 l \\ i AWTMCNilD SKinaf get ARLINGTON, TX 76011 8064 " ""*"'* * '"**"' , ~ a t.2iSSe ::k 25 2000 ?9s:0 L 00 25 26 Ou i i e 4' 4 i f I . . - , .. y ~ . . . . . . , . , . , , . - . - , - ,, . . - . , , . - . . . . - - . - - - . . . . ~ , , . . _ . - - - -

.. - _ - - . __ . _- -. - . - - - - - _ - - _ - .-

, . JOHN PHILLIP COPE P.O. Box 870265 * Wasilla, AK 99687 * Msg. (907) 373 0970 Position in Quality Assurance / Quality Control. NDE, or Engineering. objective . . Certifications Level 11 Visual Welding l.evel II Electrical Level ll Structural . Level 11 Civil * Leveill Radlogtsphic Testing Level 11 Ultrasonic Testing * Levai ll Dye Penetrant Testing Level ll Magnetic Particle Testing e Per ANSI N45.2.0, SNT TC 1 A. . Areas of Expertise inspection. Twenty years excerlence in NDE, visual, and corrosion.eroslo These include: Weldei Inspection per codes' of all construction welding. quaillicallona, piping systems and supportc, structural steel, castings, pressurt vessels, well casings, electrical supports and raceways, anchor bolts Performed torque verification, filtr - instrumentation, rasctor coolant systems. interpretation, final engincoring walkdown for documentation review. Utilize ASME, API, ANSI, AWS codes and Mll. Specs. Supervision. Train, Indoctrinate, and cortify Level I and llinspectors. Super Performac up to 50 personnel; coordinated, assigned and evalu management, production, engineerin0. and quality control to ensure compila with job site procedures, drawings, codes, and specificallons. Purchas supplies, a'nd equiprnent for projects. Welding. Twenty years experience welding in construction and rotated In includ!ng installation of well casings, and drill modificallon work. 1994 Ultrasonto I & 11, Krautkramer Branson, Anchorage, AK Education 198<- AWS Training and Certification, H.P. Foley Co., Diablo Canyon, CA 198< Supervisor Training, H.P. Foley Co., Diablo Canyon, CA 198' Radiation Safety Training, JA Jones Construction Co., Charlotte, N.C. 197' Welding Course, UA Local #598, Pasco, WA. 197' Radiation Safety School, Radiation Detection Service, San Jose, CA 1973 & 197< General Dynamics Convair Course, Richland, WA 197 West Jefferson High Schcot, Terreton, ID i e > , , -- - , - -- , ,,a..-.. ,- - - - . . , . - , - , . - , - . , , --

. Experi:: ice NDE Technician, Film Interpretation, (UT, RT, MT, PT) Testing Instruo L Alaska, Cook inlot, North Slope, various remote sites. . Visual, NDE Inspection, Film Interpretation, CTl, Inc., Anchorago, AK an< Martinez, CA. NDF. Level 11 Technician, U.S. Tocting Co., Arkansas Nuclear One, Rus AR. NDE Level 11 Technician, (UT, RT, MT, PT) Plant inspo; tion Company, Sa: 1.oandro, CA. Shell Oil Refinery and Unocal Oil Refinery, Martinaz, CA. - Field Operations, Pete Cope Drilling ino., Bolso,10. Field Quality Controf Eloot:1on! Engineer, Butler Servlees C roup. Inc., Riverben Nuclear Station, St. Francisville, LA. Quality Control Electrical Engineer,80:h101 Corp., Diablo Canyon Nuclear Pow Plant, Avila Doach, CA. . Quality Control Electrical Supervisor, Cataract, Inc. / HP Foley Co., Diab Canyon Nuclear Power Plant, Avila Beach, CA. NDE Levol 11 Technician (RT, MT, PT), Brar'd Examination Services and Testln Co., Washington Pubtlo Power Supply System, Richland, WA. NDE Level 11 Technician (RT, MT, PT), JA Jones Construction Co., Wach!ngto Public Power Supply System, Richland, WA. - Owner / Manager, Copa Drilling, Terroton, ID, Level 11 (RT, MT, PT), Poabody Millor Testing, Trans-Alaska Pipoline Pr Fairbanks, AK. Level 11 (RT, MT, PT) Matorials Consultants international, Hanford Res radicactive wasto storage fact!!!y, RI:hland, WA. Level li (RT, MT, PT), NIX Tosting, Hanford Reservation radioactive waste s , fa:llity, LNG storage facility, Richland, WA. Level 11 (R f, MT) Lovel I (RT, VT), Pittsburgh Des Molnos Steel Co., Was Public Power Supply System, Richland, WA. Abliity to adapt quickly in new job situations. Work well with others; self m eye for detail, take prldo in job quality, Noted for problem solving ab Personal all concernod and develop cost-effective solutions. Strivo to molntain 900 working relations with all types of pomonnelinvolved with the project. Specific Duties, Job Durations, References and Certifications Availabio U - i - (signe:

~ . 3- JL 3=es E:=sitmita 1:=v=g Charlotte, North Carolina Certifies That 3cln(f:ox . i Has Successfully Completed Requisites for Certification

as . Radiographic Level II/ Radiation Safety Training. 40 Hours , i

this 17th day of March,1981. o

! W - _ - __- .

w. _ .. . - QA HAMAGER

. . .

. , .. . . . - y; Restune of John Cope p / - h & *.'anent Address: ' Y Etcallonal Bacheround g.; Graduated 1972 West Jefferr,on Illgh School, Terreton, Idaho Welding Course, UA local SOS Pasco, Washington Completed 1976 Radiation Safety School, Radiation Detection Co., 2D74 40 hours San Jose, California General Dynamles Convair Courso 40 hours RT 1974 Richland, Washington 40 hours VT 1974 40 hours MT 1973 40 houn PT 1973 - Suponitor Training, H.P. Foley Co., 40 hours 1964 Diablo Canyon, California Cerftrieslinns Per ANSI N45.2.0 SNT 'IC-IA - Level 11 RadiographicTesting 14 val 11 Walding Level 11 Dye PenetrantTestiog Level H Electrical Level 11 Mag. Particle Tot. ting LevelII Stmetural Level 11 Civil Ernerience Twenty years welding experience, sixteen yean experience in heavy cons background in radiation safety. Utilization ofIridium 192, Cobalt GO and a va API 1104 tnachines. Codes utilized: ASME Soc.III, V,VIU & XI, ANSIB31.1,D31.3 AWS D1.1, UR Testinc Co . Arknnens Nuclear One. Rune *jvil!e. AR. NDE LevelII Technician RT, MT, PI' 10-90 to pm. Radiogrn?hy, Wet and Dry Magnetic Particle Testing, Dye l J, clo Job Title: Panetrant Testing for "Jnit IRS outage - Scope of activitics included Job Duties: lff ASME Section XIinspection of welds. q1 5-90 to 7-90 Plant insoaction CL Shell 011 Rnanerv. Manined NUE leval11 Technician RT, MT, PI' Radiography Wet and Dry Magnet]c Particle, Dyo Penetrant Job Tiue: tasting for Refinery outage. RT for emaion/cormsion monitoring ofin-s Job Duties: P ping systems. Fihn interpretation. i }iinnt insonction Co.. Shell 011 Rr finery. Martiner. O A 1-69 to 7-49 NDE LovelII Technician, RT, MT, PI' Radiography and Wet Fluorescent Magnetic Particle Testing on Job Tide: niinery components. Main acope ofinspection consisted of hts c Job Duties: in-service mlated defects for refinery outage. RT and WFMPT inspe

Lab on castings. Set up techniques for RT weld fingerprint pmgram f in-service monitoring, RT for omslon/ corrosion monitoring of inserv piping systems. Film interpretation. , - - - - _ _ _

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,,

6 + e page 2 of 3 f Resuase Continued of John Cope ! f f 1-88 to 12-85 Palm f%n. Drilitan_ f ne_. hiam. f,taba j ! Job Tide: Sales and Material Supervisor Job Duties: Sales promotion, material procurement and quauly control. l ' Welded and set up welding procedures. Visual weldinspecuan. Supervisor

ever drilling operations. ' ! - > ! 1-66 to id-47 f.1md dannan. AH-Almahan Ramr=4= Mahila. Washinm+nn ! ChiefEngineer, FN Alaska trader Job Tide: . perations maintenance and monitoring of all electrical and i Job Duties: O -i piping systems on board 188 foot vessel while on assignunent in Bering Sea. l Supervised nplacement & modl Acation of emisting systems whilein drydock. !

5-45 to 7-85 Stane and_Webatar W.aCan Rhh=4 Nuelaae Pawar Plant SL

Er==Invilla LA m Butfae ?_c.he ifanim ta dalt Remen IMll*Imel ! . Job Title mld C!uality Control Engineer ! Fina engineering walkdown of empleted elecideal raceways Job Duties: and supports and related assponents to ensure compliance to applicable l oodes andjob-elle procedums, < . n.ach EL ! 12-44 to 1-.85 n.,h'tal com.. nl.htn c.n nn wa.i... Pour pt.nt Avila

Quality ControlEngineer Job ntle: Work constated of support medl5 cations, change orders, , Job Duties: extensive document rwiew and turnover, disposition approvals for NCR's. - Training,indoctrinetton and certi5 cation orinspecten, IAvel ]I insp6Clion of welds, electrical reoeways, solated supporta, anchor bolts and torque + vedGostion. Also perfbreed visual Inspections of seismic mod!6 cations of etructural steel, estensive weld m-inspecuans, walkdowns and NDE ou instrumentauonlines. natarrt ine- (dantract to M P. Falay. Inel Dinh1n Nuclear Pawar Plant. l 3-63 to 9.-84 Avila B--ah nattrnrnia Quality Control Elecideal Supervisor Job nue: . Work assignment and supervision of 40 people on support Job Duties:

modiAcation inspection team. Level !! Electriemi, Structural, Civil, Welding. Work conshted of support modineations, change orders, extensive document review and turnover, die ' tion apptwals ibe NCR's. Training, ! indoctdnation and certl5 ofInspectnes. lavalIIinspeedon of welds, electrical ruoeways, niated supports, anchor bolts and torque veriAamuom. ' ' Also performed visual laspections of seiende modinoations ofstructural steel, estansiveweldm-inspections,walkdowns, ANDEoninstrumentationhaes. } S-82 to 12-82

BranA Eva.ntametan an ,yla.a and Tantine Co ' Wppgg g2 Morlaar

Pcu.- Plant plekiand. WA. , . 14 vel 11 RT, MT, PT JobTitis: ing, pipe supporta, Job Duties: . Podbrmed all phases of PT, MT, RT on pip & training ofLevelI ' t instrumentation linam a structural steel. Indoctrination personnel. Proconsed radiostaphic Alm andinterpreted 51m fbr code qua i i -

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- .- . . - . - . -- - ... - - - - - - . . - . - . - - _ ~ . - . . . _ - e t . .. . a ' 3 pase3of5 Resuman Continued of John Cope f JA Janea conatructinn camnanv. WPP99 #1 & #4. Nuclear Power Plant. i 3-81 to 5-82 ' ' Richland. WA. Job Title: IeralII RT, MT, M ! Job Duties: Extensive RT expeden:e on Reactor Coolant System, performed ' NDE ou litung attachmente for Containment Dome lin, structural steel, ' pipe, and supports. Set up rad ttvised RT techniques. Training and ! Indoctdnation of!AYSII Personnel, 4 , , I-77 to 2-81 Cone Drilline Tare tnn.1dahn i Job Btle: Owner and Manager Job Duties: Supervised welding andinstallation ofwell casing and electdcal equipment. Performed all electrical installation, wiring and testing of electrical equipment. Perfbrued PT & VT of weldlag, casing and ddlling tools. paahnav unit.c T.atin, tron. ii ek. pln.iin. Prnt-et Faf hanka. AK. t 3-78 to 12-78 Inve111 RT, MT, M Job Titje: Performed all phases PT, MT and extansive RT on all piping Job Duties: s_ ystems and structural steel at mmp stations and Terminal Station at Valder., Alasha. Also podbrmed R"lampactions on 48' main line, oil storage tanka, and refHgeration piping. Automatic film processor maintenance. Eterf ula conaul4mnta IntmenatinnmU diviainn ofJA .innma. Hadln= Hive 1-76 to 3-76 Wmata Riaraan Faci 11tv 2001r==t und 200 Wa=+ It nrnrd Panarvatinn. Richland. WA. Job Utle: 14 vel 11 RT, MT, PT Job Duties: Performed all phases ofRT, MT, PT on transfer 11mes and stornge tank penetration assembues. Scope of work conslated mainly of RT of encasement walda. hlX Taallne F=J!=tive Waalm %rama Facilliv 200 Past and 200 West antned baarvation. Richland WA LNG Renrnen Facilltv. Plymouth WA 7-75 to 12-75 F !avel II RT, MT, PI'(tavel I RT 2 months) Job Tide: Performed all phases of NDE on piping systems and tilated Job Duties: components for LNC Storese Facility and Rad-Wasta Storage Facility. ' 9-74 to 7-75 R.F. con. neittin, camn.n,. ta.kn F.11a. tanuo Rig Operation and Welder Job Title: Supervised welding & installation of well casing and alectrica Job Duties: equipment. Perfonned NDE on ddlling tools to test for stress & fatigue 3 cracking. Eittaburnh Dan MnIne Staal comunnv. WPPR9 #2. Richland. W ' 9-73 to 9-74 Imve! II PT, MT, Imvel I RT, VT Performed NDE on Reactor Containment Vessel and Job Title: Job Duties: Containment penetration assemblies. Visual inspection on preihbric . > plate assemblies. , The foregoing is true and complete to the best of my knowledge , , i John P. Cope

I ! n -,n- , -wr- . - - - , - - - - . - - - -..%.-- . . e, ,s.m..e -w- -,.,#-.,s%. mr- e,.w--w.-..-n.-,e--.r-..r,,,,,,..,,wm,....ry- ye.~rw-..+.-. ,+--w-e-m-,wm..i.y,- ww., v.-,---r y. , , ,, -~%,- ,

.- , . . a udiSm t%analdL[.a$_ \\7 ^-m-emppn-,--,m,-m r i, R u) h e,; ,[ N % ,' M[ , a Mjd ' 3h wha &L; uudkwWa ARCTIC SLOPE INSPECTION SERVICES, INC. QCIM4 Fam 4.1 NDE CERTIFICATION RECORD I) NAME: Rick Ewinn S.S. No. m .. . 2) NDE METIIOD: Radlorranhle Impection LEVEL: II 3) CERTIFICATION DATE: 3-8 96 RECERTIFICATION DATE: 4) EXPIRATION DATE: 3899 EXAMINATION ACTUAL GRADE GENERAL 88.0 % SPECIFIC 100.0 % PRACTICAL 99.0 % AVERAGE GRADE 95.7 % 5) EXAhnNAT;ON ADMINISTERED BY: GENERAL: R. Waopel DATE: 3-7 96 SPECIFIC: R. Wappel DATE: 3796 PRACTICAL: R. Waopel DATE: 3896 6) PHYSICAL E'h E EXAMINATION DATE DUE: See eve certification fonn 7) NDE TRAINING AND/OR OJ.T. TRAINING: 120 HRS. 8) EDUCATION BACKGROUND: Hirh School 9) EXPERIENCE BACKGROUND: See Fonn 4.3 I HEREBY CERTIFY THAT Richard Ewine MEETS THE REQUIREMENTS OF SNT-TC 1 A AND ASIS QCIM-4 FOR CERTIFICATION IN THE NDE METHOD BELOW: Method: _Radlonranhlc Impection Level: II . 'M 10) QUALIFICATION / CERTIFICATION APPROVED BY: ' L Aure. ' Corporate LevelI/I l 301 ARCTIC SLOPE AvtNUE. SUITE 100 . ANCHOR AGE. ALASKA 99518 3035 1907) $22 4389 . P A A 00D 3t 4213 , __

_ . _ _ _ , % . s O Richard K. ing

St315tARY Twenty five years experience as a certif ed Level 11 NDE Technician. in the fields of nuclear power plant construction. maintenance. fabrication shops. pipelines. redneries. shipyards. oilfields. and aircraft inspection. Area of expertise is Radiography, using various X. Ray machines and isotopes Approv.imately ten years experience with automated Realtime Radiography in oilfield applications Past cenifications: L.evel 11 RT. MT PT. VT. VT.2, and UT thickness testing. Familiarity with inspection requirements in accordance with ASME. ANSI, API, and Military Codes Have extensive * outage * experience on commercial nuclear power plants and a Department of Energy facility in Hanford Washington, requiring a O security clearance. EDUCATION High School . Ponderosa High School Shingle Springs, Ca I-914-(oM- Aa I( Graduate, June 1969 College American River Junior College Sacramento. Ca. g .9th . y ?q. to t ) Math and Science,1970 SPECIAL STUDIES Peabody Testing RT 12/71 40 Hrs Peabody Testing PT 1/72 20 Hrs Peabody Testing MT 4/73 20 Hrs. Peabody Testing RT Safety 12/71 40 Hrs Columbia Basin College UT 12/79 42 Hrs UNC Nuclear Ind. VT 1 11/82 16 Hrs UNC Nuclear Ind. VT 2 9/82 4 Hrs. UNC Nuclear Ind. Reactor Systems 2/85 80 Hrs JCGS UT v84 40ths CTI, Inc. UT 11/90 40 ihs. Hellier RT 2/96 40 Hrs REFERENCES References, proof of cenifications, and past employers are available upon request

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- ~ = $ .:+r w e g i is'coukies10M' _ ' gpqj.qqghy/77 h]l TIME 40;OO-am/@ '/'.25 i TELEPil0NE OR VERBAL CO}NERSATION RECORD (4* T ) N INCOMING CALL [ ] OUTGONNE CALL [ ] NISIT c IERSOW CALLIW38 CETICE/ADDAESSI PilohT WUKBERI h;k (coy & SCG EM . (907.)%7-G3M " IIRSON CALLEDI OTTICE/ADDRESSI T110fiI NtW,ERI ' . -- CONVERSATION SUBJECT - L etGi cGted CW to, M97 sumni; " dID Slncnd) k Sicgned ,nsanugensf fos wra VM lAs I a4 6 mask iy q% ham okat ed fu. Dvy :s the w mu<w ., appm3ut late,, ew Pr. Cc,7 sIdra ev& Ire c it wr2/ iuluk , k ha ry4g 2) % 51wgo aus. 'sa Clu/ Iw not mpr4 , b d &. Gays u%3/ e +1v ypat loccra Me~ b b @ /, Ah e, c?buMkM ffnu ny at- sh;to too ( 50/ %WS%p aw e. & %M 7M was mow pu, % )a s ;., , snit uad to b?inopodif~ rad <c7uy1Ach n% Q , 3) + Di aoeicf" is #te concef sg g% a qA/ G4 Am /sp w loca5L aMey le as prv>,au-dg'4h ,,,,nt,' l b kEED TO: ~~ ~ (~f AtyISI MI 05 ACTIC I 1AIII ICT103 RIQUISTID: IslTIALS: DATE: ACTICI TAIIBIs IIITI ALS: FATE: ~sf/Qf33y) " '"' - - - ' ' ~ ^ ^ ~ " - ~ ^ ~ ~ ^~ - ^^ ~ ~ ~ ^ "~ ) nn _yosM enc 118 a n y'."6' ~t'j 0 3 [ '] .

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_ ._ ~ %, UNITED STATES . t NUCLEAR RE2ULATORY COMMISSION } REGION IV ? .s . ( . ,, . j# Walnut Creek Field Office a 1450 Maria Lane Walnut Creek, California 94596-$36B APR 141997 ASCGINCORPORATED dba ASCG Inspection Services ATTN: Joseph E. Vigman Radiation Safety Officer 301 Arctic Slope Avenue, Suite 100 Anchorage, Alaska 99518 3035 SUBJECT: ACKNOWLEDGMENT OF REQUEST FOR LICENSING ACTION REFERENCE: Application dated April 8,1997 We have completed the administrative review and initial processing of your application. Please note that the technical review may identify additional omissions in the submitted Information or technicalissues that require additional information. Amendment actions are normally processed within 90 days, unless the technical review identifies: Major technical deficiencies

Policy issues that require input and coordination with other NRC Regional offices,

Agreement State offices, or NRC's Office of Nuclear Materials and Safeguards A copy of your correspondence has been forwarded to our License Fee and Accounts Receivable Branch, Office of the Controller, who will contact you separately if the appropriate license fee has not been submitted for your request, or for billing if your request is subject to full cost recovery. Any correspondence about this application should reference the Control number listed below. Sincerely, N*

Beth A. Prange Sr. Health Physicist (Licensing) Materials Branch Docket No. 030 31760 License No. 50 29015-01 Control No. 572485

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. o^ i ASCG Incorporated 2- . bcC; Docket File ! , 4 i . I

2 4 , r i ' . ' G:\\572485.aki To receive a copy of this document, indicate in the box "C" - Copy without attechment/ enclosure "E" Copy with attachment / enclosure "N" No Copy OFFICE RIV;WCFO:NMLB N N - NAME J. Garcia (//q,' B. Prange $[ f 4//f/97 M 8 y//fj 97 DATE . - - , . - - + + v + r,- -+s ,,%, -w,,-w w+ - - - - ~ .= r --e. -.---y, ,-9- r - - , ea.-*- }}

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